| NPI | 1780064428 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAIRELIS RODRIGUEZ President 239-252-5332 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL 5051Castello) |
| Enumeration Date | 2015-06-08 |
| Last Update Date | 2015-06-08 |